GARFIELD NEUROBEHAVIORAL CENTER

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/04/2011.

Administration

Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 03/04/2011 Correction Date: 04/13/2011
Train All Employees on What to Do in an Emergency. Inspection Date: 03/04/2011 Correction Date: 04/13/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/04/2011 Correction Date: 04/13/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/04/2011 Correction Date: 04/13/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 03/04/2011 Correction Date: 04/13/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/04/2011 Correction Date: 04/13/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 03/04/2011 Correction Date: 04/13/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/04/2011 Correction Date: 04/13/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/04/2011 Correction Date: 04/13/2011

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 10/29/2008 Correction Date: 12/08/2008

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 03/04/2011 Correction Date: 04/13/2011

The table below lists incident reports by the nursing staff or administration for Garfield Neurobehavioral Center, as well as complaints by residents or their family in the previous three years.

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Complaint Filed: 05/02/2008 Correction Date: 05/29/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Complaint Filed: 09/03/2010 Correction Date: 10/27/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 09/03/2010 Correction Date: 10/27/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Garfield Neurobehavioral Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/09/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 11/03/2008 Correction Date: 12/05/2008
Portable Fire Extinguishers. Inspection Date: 11/03/2008 Correction Date: 12/05/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/07/2010 Correction Date: 01/28/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 11/03/2008 Correction Date: 12/05/2008
Approved Construction Type or Materials. Inspection Date: 01/07/2010 Correction Date: 01/28/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 11/03/2008 Correction Date: 12/05/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/03/2008 Correction Date: 12/05/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/09/2011 Correction Date: 04/26/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 11/03/2008 Correction Date: 12/05/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/07/2010 Correction Date: 01/28/2010
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/09/2011 Correction Date: 04/26/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/03/2008 Correction Date: 12/05/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/03/2008 Correction Date: 12/05/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/09/2011 Correction Date: 04/26/2011